Question:
Has anyone had great success or problems with United Health Care when it came to
getting plastic surgery? I go for a consult on thursday and i want it to go as smooth as it did, getting approved for the wls. I had no problems at all. Please let me know if there is something i need to do, besides what he dr is going to send them. Thank u in advance for ur answers 260/172/150-160 — sexysag37 (posted on January 11, 2004)
January 11, 2004
I have United Healthcare, and had absolutely no problems what so ever. As
long as you are prepared to be patient it takes at least 30-45 days I think
you will be just fine. I had my sugery on Jan 5th, GOOD LUCK!!
— PATRICIA A.
January 11, 2004
I was approved by UHC on my first try, but I gave my dr. ALLOT of
additional stuff to put in with his request, like letters from my other
physician's stating that surgery would help my condition, like from the
orthopedist, the dermatologist, my PCP and more. I really believe that any
co. that knows for sure that you'll appeal if denied will look closely and
approve if they can. I also stayed on them, calling and requesting info
regarding my approval status at least once a week. Good luck!
— Susan R.
January 13, 2004
i had uhc ppo, and not a lick of probs w/ it. i put in the reuqest, and in
less than 2 1/2 weeks later was approved. the end of feb i got everything
turned in (i had some minor probs w/ the psych. he thought he was god... i
didn't... needless to say i didn't like him very well :). i was approved
about the first week or so of march, and had surgery april 26 03. they paid
everything except 200, which was my copay.(i've since changed employeers,
and now have fortis short term insurance until i hit 6 mos employeement.)
they reuqired at least 3 documented diet attempts and of those at least 1
in the last 12 mos. I had to have a psych consult which work paid for, and
although i didn't need a letter of support from my pcp, he wrote one
anyway. i also had to agree to release my medical records. they required
either a bmi of 35 and 3 co morbids, or a bmi of 50 or higher and no co
morbids. I was at bmi 50.5, and had at least 4 comorbids. i was pleased and
impressed with how quickly and professionaly they took care of me.... out 9
mos, down 91 lbs, and 34 to hit goal... good luck, and god bless....
— mellyhudel
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